JOHN C GRAY MD
NPI 1801865134
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Tucson, AZ

NPI Status: Active since March 17, 2006

Contact Information

2450 E RIVER RD
TUCSON, AZ
ZIP 85718
Phone: (520) 320-2661
Fax: (520) 326-1120

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  • Individual
  • Male
  • Years of Experience 39
  • Psychiatry & Neurology
  • Neurology with Special Qualifications in...
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About JOHN GRAY

This page provides the complete NPI Profile along with additional information for John Gray, a provider established in Tucson, Arizona with a medical specialization in Psychiatry & Neurology, focusing in neurology with special qualifications in child neurology and more than 39 years of experience. He graduated from University Of Minnesota Medical School in 1987. The healthcare provider is registered in the NPI registry with number 1801865134 assigned on March 2006. The practitioner's primary taxonomy code is 2084N0402X with license number 22310 (AZ). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1801865134
Provider Name
JOHN C GRAY MD
Gender
Male
Entity Type
Individual
Location Address
2450 E RIVER RD TUCSON, AZ 85718
Location Phone
(520) 320-2661
Location Fax
(520) 326-1120
Mailing Address
2450 E RIVER RD TUCSON, AZ 85718
Mailing Phone
(520) 795-7923
Mailing Fax
(520) 326-1120
Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year
1987
Is Sole Proprietor?
No
Enumeration Date
03-17-2006
Last Update Date
06-02-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology

Taxonomy Code
2084N0402X
Type
Allopathic & Osteopathic Physicians
License No.
22310
License State
AZ
Taxonomy Description
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
  • UHC Bronze Essential ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Standard+ (Dental + Vision) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Standard - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
  • UHC Silver Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
106781MEDICARE ID-TYPE UNSPECIFIED (04) 
F32644MEDICARE UPIN (02) 
175423MEDICAID (05)AZ 

Medicare Participation & PECOS Enrollment Status

John Gray is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

John Gray is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2961422217

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20051201000051

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 85718 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $127.71
  • Minimum New Patient Price $55.44
  • Maximum New Patient Price $168.6
  • Average New Patient Copayment $31.92
  • Minimum New Patient Copayment $13.86
  • Maximum New Patient Copayment $42.15

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $98
  • Minimum Established Patient Price $17.72
  • Maximum Established Patient Price $137.41
  • Average Established Patient Copayment $24.5
  • Minimum Established Patient Copayment $4.43
  • Maximum Established Patient Copayment $34.35

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for JOHN C GRAY MD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1801865134, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
0
Doubled → 0
Pos 4
1
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
3
Doubled → 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 0 + 1 + 1 + 6 + 6 + 1 + 0 + 1 + 6 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1801865134.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Neurology)
2450 E RIVER RD
TUCSON, AZ 85718
Registered Nurse (Neuroscience)
2450 E RIVER RD
TUCSON, AZ 85718
Neurological Surgery
2450 E RIVER RD
TUCSON, AZ 85718
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2450 E RIVER RD
TUCSON, AZ 85718
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2450 E RIVER RD
TUCSON, AZ 85718
Psychiatry & Neurology (Neurology)
2450 E RIVER RD
TUCSON, AZ 85718
Psychiatry & Neurology (Neurology)
2450 E RIVER RD
TUCSON, AZ 85718
Neurological Surgery
2450 E RIVER RD
TUCSON, AZ 85718
Nurse Practitioner
2450 E RIVER RD
TUCSON, AZ 85718
Psychiatry & Neurology (Neurology)
2450 E RIVER RD
TUCSON, AZ 85718
Neurological Surgery
2450 E RIVER RD
TUCSON, AZ 85718
Anesthesiology (Pain Medicine)
2450 E RIVER RD
TUCSON, AZ 85718
Psychiatry & Neurology (Neurology)
2450 E RIVER RD
TUCSON, AZ 85718
Nurse Practitioner (Adult Health)
2450 E RIVER RD
TUCSON, AZ 85718
Nurse Practitioner
2450 E RIVER RD
TUCSON, AZ 85718
Psychiatry & Neurology (Neurology)
2450 E RIVER RD
TUCSON, AZ 85718
Neurological Surgery
2450 E RIVER RD, SUITE 100
TUCSON, AZ 85718
Psychiatry & Neurology (Neurology)
2450 E RIVER RD
TUCSON, AZ 85718
Psychiatry & Neurology (Neurology)
2450 E RIVER RD
TUCSON, AZ 85718
Neurological Surgery
2450 E RIVER RD
TUCSON, AZ 85718

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801865134, enumerated as an "individual" on March 17, 2006.

The provider is located at 2450 E RIVER RD TUCSON, AZ 85718 and the phone number is (520) 320-2661.

Psychiatry & Neurology with taxonomy code 2084N0402X and a focus in Neurology with Special Qualifications in Child Neurology.

The provider might be accepting Accepts: UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.